Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Penderbrook Internal Medicine and Wellness, PLLC

Organization Internal Medicine Physician · NPI 1972832608

Penderbrook Internal Medicine and Wellness, PLLC is an Internal Medicine Physician in Fairfax, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4001 Fair Ridge Dr Ste 206
Fairfax, VA 22033-2917
Phone: (703) 716-5404
Fax: (703) 716-5410
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0101840408 (VA)

Record details

NPI number1972832608
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thien Quang Le — Owner · (703) 716-5404
NPI enumeratedDecember 8, 2009
Last updated in NPPESSeptember 29, 2011
Mailing address4001 Fair Ridge Dr, Suite 206, Fairfax, VA 22033-2917

Other providers in Fairfax